Thoracic spinal stenosis Ossification of the ligamentum flavum

Thoracic spinal stenosis with ossification of the yellow ligament is a disease in which the thoracic spinal canal in the spine becomes narrower and the yellow ligament becomes calcified or ossified, leading to nerve compression. The early symptoms are mild, but if not treated promptly, it may cause nerve damage or even paralysis.

Ossification of the yellow ligament is related to factors such as heredity, aging, long-term improper posture and chronic strain. Genetic susceptibility makes some people more prone to ossification, while repeated external stimulation leads to excessive proliferation and calcification of the ligament. Ossification of the yellow ligament usually makes the spinal canal narrower, compresses the nerves, causes chest and back pain, limb weakness or numbness of the lower limbs, and even difficulty walking. If the degree of compression increases, nerve damage can lead to incontinence or severe paralysis. Some cases are combined with other pathological changes, such as herniated disc or scoliosis, which makes the condition more complicated.

Treatment options include non-surgical and surgical methods. Non-surgical treatment is suitable for patients with mild early symptoms. Oral non-steroidal anti-inflammatory drugs such as ibuprofen, or physical therapy can be used to relieve local inflammation and pain. Injection of hormone drugs such as methylprednisolone can also reduce acute and chronic inflammatory edema. If the symptoms are obvious or even endanger the ability to move, surgical treatment is recommended. Common surgical methods include laminectomy, spinal canal decompression, and yellow ligament resection, which release nerves by removing ossified structures. Postoperative rehabilitation training is also very important, such as core muscle training and walking function exercises during the rehabilitation stage.

Maintaining a healthy lifestyle can prevent the condition from getting worse. Avoid sitting for long periods of time or hunching over. Strengthening back muscle exercises can effectively improve spinal stability. Supplementing your diet with foods rich in calcium and vitamin D, such as milk and dark green vegetables, can help slow bone degeneration. Patients who already have symptoms of neuropathy should seek medical attention in a timely manner to avoid delaying treatment.